BONNINE B BOUCHARD


Address: 2 Moosehead Lake Rd, Greenville, ME 04441-0221
Phone: 2076954579

BONNINE B BOUCHARD (NPI# 1235465881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235465881
Entity Type Individual
Full Name BONNINE B BOUCHARD
Practice Address 2 Moosehead Lake Rd
Greenville
ME 04441-0221
Mailing Address Po Box 221
Greenville
ME 04441-0221
Practice Telephone 2076954579
Mailing Telephone 2076954579
Enumeration Date 2009-11-02
Last Update Date 2009-11-02
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 222Q00000X Developmental Therapist 212406 ME Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 2 MOOSEHEAD LAKE RD
City GREENVILLE
State ME
Zip Code 04441-0221

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679792022 Town of Greenville Day Training, Developmentally Disabled Services 100 Pritham Ave., Greenville, ME 04441 2007-04-24
1528196219 Moosehead Drug Inc. Pharmacy 10 Pritham Ave, Greenville, ME 04441 2007-03-02
1104834977 Eastern Maine Healthcare Systems Medicare Defined Swing Bed Unit 364 Pritham Avenue, Greenville, ME 04441 2006-08-04
1104396167 Michael Harris Pharmacist 10 Pritham Ave, Greenville, ME 04441 2018-12-03
1629350954 Dorothy Bennett Speech-Language Pathologist 144 Pritham Avenue, Greenville, ME 04441 2011-09-13
1942516158 Martha Pfirman Speech-Language Pathologist 364 Pritham Ave, Greenville, ME 04441 2010-08-25
1992011340 Angie Madore Occupational Therapist 364 Pritham Ave, Greenville, ME 04441 2010-08-24
1659687028 Karen Glavin Physical Therapist 364 Pritham Ave, Greenville, ME 04441 2010-08-24
1134354228 Charles A Dean Memorial Hospital & Nursing Home Skilled Nursing Facility 364 Pritham Avenue, Greenville, ME 04441 2009-05-19
1174743090 Town of Beaver Cove Local Education Agency (LEA) 100 Pritham Ave., Greenville, ME 04441 2007-04-26
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Taxonomy Information

Taxonomy Code 222Q00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Developmental Therapist

Taxonomy Definition

A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development.
Notes: Source: The Illinois Developmental Therapists Association [1/1/2007: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114577764 Jessica Ann Legault Developmental Therapist 416 E College Ave, Greenville, IL 62246-1523 2019-09-16
1770939423 Brittany Michelle Dixon Developmental Therapist 409 Maple St, Greenville, NC 27858-2631 2016-05-12
1548652217 Elvira Mitchell Developmental Therapist 3538 S Woodlawn Dr, Greenville, MS 38703-8213 2015-03-04
1477973659 Melissa Morrison Developmental Therapist 1010 River Hill Dr, Greenville, NC 27858-8334 2014-04-25
1083804215 Cheryl Jean Yarrell Developmental Therapist 100 David Dr, Apt. E-18, Greenville, NC 27858-4865 2007-07-25
1972142032 Michelle Turnof Developmental Therapist 536 Old Howell Rd, Greenville, SC 29615-1969 2020-01-06
1609396563 Alison Couse Developmental Therapist 1100 Red Banks Rd, Greenville, NC 27858-5205 2017-06-22
1396275541 Brittany Stephenson Developmental Therapist 1100 Red Banks Rd, Greenville, NC 27858-5205 2017-06-19
1811293236 Andrea Lugo Developmental Therapist 700b Cromwell Dr, Greenville, NC 27858-5852 2011-02-02
1548564628 Araceli L Ascencio Developmental Therapist 700b Cromwell Dr, Greenville, NC 27858-5852 2011-01-04
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Competitor

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City GREENVILLE
Zip Code 04441

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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